2006, Number 4
Experience in radical prostatectomy at surgical oncology service, Centro Medico Nacional 20 de Noviembre
Castrejón RG, Obaldia CG, Rosas ZL, Hernández GS
Language: Spanish
References: 11
Page: 278-281
PDF size: 137.30 Kb.
ABSTRACT
Objective: To determine the perioperatory morbidity, recurrence and survival in a group of patients with prostatic cancer who were performed to radical prostatectomy in a period of six years in the Service of Surgical Oncology in the National Medical Center 20 de Noviembre, ISSSTE.Patients and methods: From January of 2000 to March of 2005 all the files of all the patients who underwent radical prostatectomy on surgery stages were reviewed.
Results: There were 10 patients; the average length of follow-up was 19.6 months. The age average was 65.9 years. The value average of the preoperative PSA was 10.5 ng/dL. The value of the Gleason was 4 in 40% of the patients. All the histological types were adenocarcinomas; 80% in a clinical stage II. All resection lymphatic nodes were reported without metastases. Two patients were reported with positive surgical margin. Two patients presented recurrence of the disease, neither was related to positive margin. The average time of recurrence was of 28 months. The recurrence site went at bony and retroperitoneus level; 60% of the patients presented some complication, of which 30% were early complications, delayed 20% and early and delayed 10%. The actuarial global survival to 75 months is of 100%.
Conclusions: Rates of survival, morbidity and mortality, are similar to the reported ones in world-wide literature, being single elevated the rate of hospital stay.
REFERENCES